Inspection on 28/06/05 for Rookery Cottage

This inspection was carried out on 28th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Rookery Cottage 28/01/09

Rookery Cottage 18/12/06

Rookery Cottage 24/02/06

Rookery Cottage 04/11/04

Rookery Cottage 11/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Rookery Cottage 5 Church Way Thorpe Malsor Kettering NN14 1JS Lead Inspector Rajshree Mistry Unannounced 28 June 2005 10.50am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Rookery Cottage Address 5 Church Street Thorpe Malsor Kettering Northants NN14 1JS 01536 482776 01536 482570 None Mr Derek Arthur James Bass Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Diane Bass Care Home 13 Category(ies) of OP Old People (13) registration, with number DE(E) Dementia - Over 65 Years (4) of places Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4th November 2004 Brief Description of the Service: Rookery Cottage is care home registered to accommodate up to thirteen older people and up to four residents with dementia. The home is located in a small village of Thorpe Malsor, near Kettering, Northamptonshire. The home is in the style of other properties within the village. Thorpe Malsor is a small village with no local facilities and Kettering town centre is a short drive away. The home is furnished with comfortable furniture and decorated to create a homely atmosphere. Bedrooms are located on the ground and first floor, which are accessible by a passenger lift or the stairs. There is a large lounge with dining area. There is garden with are patio to the rear of the building. Car parking is also to the rear of the home. The Registered Managers office is located away from the home in a seperate office. The Registered Manager has many years of expereince of providing personal care to older people and all staff receive training. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place from 10.50am on 28th June 2005 and lasted for 4 hours. The method of inspection consisted of a tour of the home, communal areas, three residents’ rooms and examination of the health and safety records for the home. Three residents were spoken with and observed, specifically to look at their lifestyle at the home and how their care needs were met. Individual plans of care and relevant care records were examined. Comments received from residents were all very positive. Staff on duty were observed providing the care and talked about how the residents’ needs are met. Residents were observed engaging with the staff and going about their daily activities and routines. Towards the latter part of the inspection visit, time was spent with the Registered Manager discussing some of the findings, information received and observations made. What the service does well: What has improved since the last inspection? The requirements and recommendations made at the last inspection have all been met. There is a designated staff responsible for conducting the regular fire and alarm testing; storage and systems to monitor medication is robust; residents are consulted formally on an annual basis using the quality assurance procedure and activities are arranged are suited to the residents wishes and interests. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 6 The assessment form has been improved to incorporate more comprehensive details about the potential resident that informs the individual plan of care, when they move to the home. Rookery Cottage has been awarded the Investors in People Award. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 5 The admission process is well managed and robust to ensure that the care needs will be met when they live at the home. EVIDENCE: The admission procedure is good. The Registered Manager and carers, carry out a comprehensive assessment of the individual’s care needs and is recorded. Residents are only admitted to the home on the basis that all their care needs are met in their preferred choice of lifestyle. Three residents care files examined were comprehensive and included their preferred choice of lifestyle, risks identified relating to mobility, continence, emotional wellbeing, self-care and how to maintain and promote independence safely, amongst other headings. Residents had signed the assessment forms to indicate that they agreed with them. The home encourages residents’ and their relatives to visit. A trial period of stay is offered to all prospective residents and to discuss how individual care needs can be met. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 9 and 10 Residents’ health and social care needs are met. Care provided is personalised. Management of medication in the home is robust and secure. EVIDENCE: All care files tracked contained comprehensive plans of care produced from the assessment. The plans were specific to the individuals’ needs covering mobility, continence, sensory impairment and respecting the residents’ choice of lifestyle such as prefers a cup of tea with their breakfast and coffee in the afternoon. Residents who spoke to the Inspector indicated that they are consulted regularly about the provision of care and the home and is recorded. Residents’ health care needs and treatment received from the GP or the District Nurses are recorded in their files. Residents who spoke with the Inspector stated that their health needs are fully met and felt they were treated with respect and their privacy was upheld. Medication is stored in a locked medication trolley, secured to a wall. Staff are trained to administer medication. Receipt, storage, administration of medication, returns and recording was seen and is considered to be accurate. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 10 A management system for recording and administering controlled medication is in place and robust. At present there are no residents on any controlled medication. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 and 15 Residents are provided with activities to meet their needs. All residents are able to maintain contact with families and friends. The food is healthy and nutritious and is served in pleasant surroundings. EVIDENCE: Residents care plans indicate social and leisure interest and links with family and friends. On the day of the inspection there were no planned activities, although staff would offer activities daily. Daily newspapers are delivered for some residents. Three residents that were sat at the dining table after lunch and spoke to the Inspector. One resident said she really enjoys swimming and walking and arrangements have been made by the home to take residents swimming at the nearest leisure centre, whilst others sit and watch. Comments received from the residents included; “I really enjoy swimming, dive into the water” and “we often sit out in the patio under the umbrella on a hot day like today”. There are monthly holy communions held at the home and some residents often go out to church with their family. Residents indicated that their visitors are welcome at any time within reason. One resident spoke about her family with the grandchildren visiting from the West Midlands and Kent. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 12 Meals are varied and nutritionally balanced. Residents spoken with indicated that the menu is displayed and staff tell you the choices on the menu. One resident’s care plan indicated that they required a sugar free diet to manage the diabetes. The home provides meals to meet the residents’ dietary requirements. On the day of the inspection lunch was ham, tomatoes and chips with raspberry crumble with ice cream or cream. Lunch is the main meal and is served mainly in the dining room although residents can choose to eat in the privacy of their own rooms. Residents spoken with were satisfied with the choice of meals and stated, meals are offered to their visiting relatives. Drinks and snacks are available throughout the day, especially during the recent on hot days. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 The home’s complaints policy and procedure is robust, clear and accessible to all. EVIDENCE: The home’s complaints procedure is displayed on the notice board at the entrance of the home and included in the service user guide, which is given to all residents. Timescales for responding to a complaint was not stated and brought to the attention of the Registered Manager. By the end of the inspection the Registered Manager had updated the complaints documentation to reflect the timescales in accordance with the requirements of the Care Standards Act 2000. Residents spoken with were aware of whom to contact and speak with should they have any concerns. Residents indicated that they were confident that their complaints would be addressed and comments received included “we have no complaints”; “I wouldn’t suffer in silence”, and “I wouldn’t remain quiet if I was unhappy about anything”. Staff who spoke to the Inspector stated that residents would let them know if there was a problem and would thank the staff for resolving the problem. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 21, 24 and 26 The home offers a safe, well-maintained environment that meets residents’ needs. The home is commended for the quality of the environment. EVIDENCE: The home offers very high quality accommodation and is commended for this. A tour of the premises found all areas to be clean and tidy. Décor and furniture throughout the home creates an ambience of warmth that is very comfortable, homely and inviting. The home is well maintained and suited to the needs of the residents. Residents are able to move freely around the home. Entry to the home and the private garden is level entry. Access to the first floor is by the stairs or the passenger lift. Several bedrooms with en-suite facilities on the ground and first floor viewed, were clean bright and comfortable. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 15 Residents who spoke to the Inspector also pointed out several items of their own possessions and furniture brought in to create a homely and comfortable surrounding, including a family tree. All the residents have lockable storage and are offered a key to their room. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Trained staff are adequately deployed to meet the needs and protect the residents. EVIDENCE: The staff rota is in place, and this was accurate with the staff on duty at the time of the inspection visit. The home has a stable team of staff and does not use agency staff. Staff who spoke to the Inspector described their duties and responsibilities to ensure residents’ needs are met promptly, safely and in a safe environment. Residents said they felt the staff were caring and responded to requests and felt safe in the hands of the staff and comments received included “the staff are so kind, polite and pay attention to detail”. All staff are required to complete a programme of induction and mandatory training covering moving and handling, health and safety, food and hygiene and dementia awareness. Staff are encouraged to be involved with residents from the point of the initial assessment to develop skills in assessing needs. All staff are completing various National Vocational Qualification levels 2 and/or 3. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 35 and 38 The residents and staff benefit from good management of the home. The residents’ finances are safeguarded with clear a policy. The health, safety and welfare of residents and staff are well promoted and protected. EVIDENCE: The Registered Manager has many years experience of providing care to older people and managing a care home. The Registered Manager has completed the National Vocational Qualification level 4 – Registered Manager’s Award and has promoted the NVQ to all the staff at the home. Residents who spoke to the Inspector were complimentary about the style of management, as the staff work as a team and supported by a good leadership. Residents manage their own finances with the support of their family or solicitor. Residents have access to lockable facilities in their rooms and can have a key to their room. The homes’ policy is that staff do not manage or take responsibility to support residents to manage their finances. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 18 Health and safety is clearly important within the home. The fire risk assessments were available and had been reviewed, along with individual risk assessments for residents for moving and handling. During the tour of the home fire exits were clearly marked and were not obstructed. Records of routine testing of fire safety equipment, fire alarms, lighting, water temperature and electrical equipment subject to portable appliance testing, were in good order and health and safety issues were well documented. Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 4 x 3 x x 3 x 3 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 3 x x 3 x x 3 Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Rookery Cottage C51 C08 S12898 Rookery Cottage V235661 Stage 4 280605.doc Version 1.40 Page 21 Commission for Social Care Inspection 1st Floor Newland House Campbell Square Northampton NN4 5BT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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